Provider Demographics
NPI:1003578311
Name:PARKHURST AND SAVAGE FAMILY AND COSMETIC DENTISTRY
Entity Type:Organization
Organization Name:PARKHURST AND SAVAGE FAMILY AND COSMETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKHURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-683-4369
Mailing Address - Street 1:730 CROSSOVER LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4905
Mailing Address - Country:US
Mailing Address - Phone:901-683-4369
Mailing Address - Fax:901-767-6222
Practice Address - Street 1:730 CROSSOVER LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4905
Practice Address - Country:US
Practice Address - Phone:901-683-4369
Practice Address - Fax:901-683-4369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty